Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2025-03-01-6

Project Information

Project IdentifiersProject ID: 212861
DEA: 101H2804
EFIS: 1017000190
DIST-CO-RTE-PM10-STA-5-10.7/25.5
Award Date02/06/2024
Closeout DateNot set
Work DescriptionBRIDGE DECK OVERLAY WITH POLYESTER CONCRETE, REPLACE APPROACH SLABS & JOINT SEALS IN STANISLAUS COUNTY ON STATE ROUTE 5 FROM FINK ROAD UC TO KHALSA ROAD UC.
Location DescriptionSTANISLAUS AND MERCED COUNTIES.
QA Service Level1 (Verified on 03/23/2020)

Sample Information

Sample Taken Date03/01/2025 Sample Unique Key6
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing07/30/2025
Sample typeQuality Assurance A brief description of the sampleapproval
The quantity of what the sample constitutes1 Can From where was the sample collectedManufacturer
First name of sampler or witnessed byJ Last name of sampler or witnessed byTostado
Title of sampler Technician Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero Benicia Transportation Laboratory (TL) Number0436011
Inspector Lot Number from the Transportation Laboratory (TL) Form1 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number1
Sublot number8 Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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